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Esophageal resection and fistula care


Whole. Jejunal feeding, the fistula should be fixed firmly implemented to prevent slippage, regular disinfection of wells fistula mouth and the outer wall, to keep skin dry = local intestinal feeding each end. Fistula with normal saline flush to prevent clogging. Feeding is completed, with the abundance of sterile gauze wrapped to prevent infection. 3, 7 cases of Nursing We agree ISI postoperative esophageal fistula resection patient care, has the following experience (1) must be corrected before surgery in patients with nutritional status and hypoxia, which is to prevent postoperative anastomotic leakage basis ( 2) to closely observe the condition of patients after surgery. Early detection of anastomotic leakage occurred. Kiss sets ISI early detection of fistula well take timely measures to help improve the healing of anastomosis fistula ISI (3) to strengthen the occurrence of anastomotic leakage in patients with psychological care and nutrition care and piping to ensure the supply of nutrients the body to eliminate the negative emotions of patients, the patient a speedy recovery. Surgical patient safety and nursing Second People's Hospital, Hefei, Anhui (230011) Ni Jun security problem exists in the whole process of medical and nursing care in surgical patients because there is bound to damage and risk. Therefore the safety of surgical patients is very important. Endanger the safety of surgical patients, prevention from the following aspects: 1,[link widoczny dla zalogowanych], bearing in mind that the prevention of psychological injury in the preoperative psychological care 1.1: 1 before surgery to patients in prevention, as the patient characteristics of the illness. The need for surgery, surgical, medical and surgical operation to achieve the best results, post-operative incisional pain duration and pain relief methods. So that patients know what to eliminate the fear of surgery patients, a sense of security,[link widoczny dla zalogowanych], trust, disarmament concerns, emotional stability,[link widoczny dla zalogowanych], reduce psychological reactions,[link widoczny dla zalogowanych], embrace the surgery. 1.2 Psychological care surgery; anesthesia and continuous epidural anesthesia for conscious patients, can moderate the tone for comfort, attention to maintaining a quiet operating room, strict enforcement of protective health care system. Avoid adverse stimuli to the patient, surgery patients may feel thirsty, poor anesthetic effect caused pain, discomfort and some visceral position reaction. Tour nurse should try to meet the needs of patients, should be patient and meticulous in their side for comfort. Observe whether the patient condition changes. Influence of abdominal pressure and prevent the patient breathing, use of physical restraint with the patient should be asked whether limb pain, numbness. Always check the tightness of constraints with body massage wells to reduce the discomfort of patients to ensure the smooth operation to the attention of the operating room to the temperature and humidity, and light regulation. Avoid extreme cold, heat and light stimulation the patient discomfort, a good and calm the patients mental state, with surgery carried out. 1.3 The psychological after care: the nurse told patient surgery is over and surgery well. Lesion has been removed, tell the patient can use cut ISI pain pain pain pump and drugs, and cover the wound with a dressing, wipe off the blood of medical staff to avoid wearing clothing with blood on the station to the patient before surgery to prevent the vicious stimulation, while helping the patient put on clothes pants, escort the patient back to the ward, so that patient safety satisfaction. 2, bearing in mind that biological factors whipped injury prevention operation arrangements between 2.1: all hepatitis B and sexually transmitted diseases, surgery should be placed in clearly marked with the special operation carried out between 1 surgery to make full use of supplies. Used equipment, dressings and surgical infection among special treatment by the general surgery and general infections by sterile surgical procedure were placed, not allowed to post-operative infection in Taiwan, asked for surgery, instruments, dressings addressed immediately to prevent cross-infection. 2,2 patient's skin preparation: According to the parts of surgical skin preparation, local skin incision should be cleaned and preoperative shaving shower, keeping the skin clean,[link widoczny dla zalogowanych], reduce further the density of bacteria, so the role of chemical disinfectants and better, while reducing the amount of chemical disinfectants, chemical disinfectants to reduce skin irritation. 2.3 surgical staff preparation: surgical staff should have good access operating rules of professional ethics for changing hands. Regular monitoring of bacteria Dam I, intraoperative surgical personnel should be strictly aseptic technique. 2.4 disinfection and sterilization equipment and materials: surgical instrument sterilization is not complete, it will increase the chance of infection, increasing the patient's insecurity, so. Equipment items we have strict sterilization, in order to ensure patient safety, high-pressure steam sterilization is still the reliable method of sterilization, any high pressure all the high temperature, moisture can use this method for items and regular monitoring of pressure off bacteria to teach fruit. Any items not to make use of high temperature glutaraldehyde, ethylene oxide sterilization agent such as Higher Education. 2.5 Application of perioperative antibiotics: surgical patients require routine use of antibiotics before surgery, surgery more than 4 hours plus an antibiotic. 3 bearing in mind that prevention of accidental injury to prevent electrical burns 3.1: With the advances in technology. Medical appliances, such as the operating room more and more high-frequency electric knife, electric coagulation, skull drilling, improper use can cause skin burn patients
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